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Exam (elaborations)

Med Surg Exam 1 240+ (Latest Edition) 100% Verified Q&A + Answer Key Solutions

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Med Surg Exam 1 240+ (Latest Edition) 100% Verified Q&A + Answer Key Solutions

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Med Surg Exam 1
(Latest 2025-2026 Edition) 100% Verified Q&A + Answer
240+
Key Solutions


VERIFIED ANSWERS


Question 1
When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the
client may show signs of alcohol withdrawal delirium during which time period?

Correct Answer
Up to 72 hours after alcohol withdrawal


Question 2
A fractured skull would be classified under which category of surgery based on urgency?
Correct Answer
Emergent

Emergent surgery occurs when the client requires immediate attention. An elective surgery is classified as a surgery that
the client should have. A required surgery means that the client needs to have surgery. An urgent surgery occurs when
the client requires prompt attention.


Question 3
For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery?
Correct Answer
7


Question 4
Which health care profession has the ultimate responsibility to provide appropriate information regarding a nonemergent
surgery?
Correct Answer
Physician




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,Question 5
The nurse discovers that the client did not sign the operative consent before receiving the preoperative medication. The
appropriate nursing action is:
Correct Answer
To notify the surgeon


Question 6
The nurse expects informed consent to be obtained for insertion of:
Correct Answer
A gastrostomy tube


Question 7
You are the nurse working in an ambulatory surgery center. A teenage son of your clients ask you why so many people have
surgery. What would be your best reply?
Correct Answer
"Many people have diagnostic or short therapeutic surgical procedures."


Question 8
A client is scheduled for a surgical procedure. When planning the client's care, the nurse should consider that which of the
following conditions will increase the client's risk of complications after surgery?
Correct Answer
A history of diabetes


Question 9
At what point does the preoperative period end?
Correct Answer
When the client is transferred onto the operating table

The preoperative phase begins when the decision to proceed with surgical intervention is made and ends with the
transfer of the client onto the OR table. The intraoperative phase begins when the client is transferred onto the operating
table and ends with admission to the PACU.


Question 10
A client is being prepared for a same-day surgical procedure and is discussing with the nurse what potential ramifications
this type of surgery has. Which of the following would the nurse correctly identify? Select all that apply.
Correct Answer
Need for teaching is increased.
The client will leave the hospital sooner than in the past.
The client must be prepared to take on more self-care than he or she may have done in the past.




Trusted by thousands of students and professionals worldwide Page 2 of 39

,Question 11
When is the ideal time to discuss preoperative teaching
Correct Answer
Preadmission visit


Question 12
A client is undergoing preoperative assessment. During admission paperwork, the client reports having enjoyed a hearty
breakfast this morning to be ready for the procedure. What is the nurse's next action?
Correct Answer
Notify the surgeon.


Question 13
A 17-year-old client is having same-day surgery. Solely during the intraoperative phase of perioperative care, the nurse:

Correct Answer
continuously monitors the sedated client.


Question 14
A physically fit 86-year-old is scheduled for right knee replacement. Which factor the client at increased risk for
complications during or after surgery?
Correct Answer
Age


Question 15
A nurse is witnessing a client sign the consent form for surgery. After signing the consent form, the client starts asking
questions regarding the risks and benefits of a surgical procedure. What action by the nurse is most appropriate?
Correct Answer
Request that the surgeon come and answer the questions.


Question 16
A client is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory
complications?
Correct Answer
Splint the incision site using a pillow during deep breathing and coughing exercises.


Question 17
A client refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take?
Correct Answer
Allow the client to wear the ring and cover it with tape.




Trusted by thousands of students and professionals worldwide Page 3 of 39

, Question 18
A patient with uncontrolled diabetes is scheduled for a surgical procedure. What chief life-threatening hazard should the
nurse monitor for?
Correct Answer
Hypoglycemia


Question 19
The nurse is monitoring a presurgical patient for electrolyte imbalance. Which classification of medication may cause
electrolyte imbalance?
Correct Answer
Diuretics


Question 20
A nurse knows that she must obtain a signed informed consent for which of the following procedures? Select all that apply.
Correct Answer
Arteriography
Open reduction of a fracture
Cystoscopy
Paracentesis


Question 21
A nurse is teaching a client with chronic bronchitis about breathing exercises. Which instruction should the nurse include in
the teaching?

Correct Answer
Use diaphragmatic breathing.


Question 22
When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as
Correct Answer
emergency.

Emergency surgery means that the client requires immediate attention and the disorder may be life threatening. Urgent
surgery means that the client requires prompt attention within 24 to 30 hours. Required surgery means that the client
needs to have surgery, and it should be planned within a few weeks or months. Elective surgery means that there is an
indication for surgery, but failure to have surgery will not be catastrophic.


Question 23
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency?
Correct Answer
Adrenal




Trusted by thousands of students and professionals worldwide Page 4 of 39

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